Prioritizing patient problems is usually based on
Maslow's hierarchy of needs.
the nurse-to-nurse report.
nonspecific data collection..
managerial influence.
The Correct Answer is A
A. Maslow's hierarchy of needs:
This statement is true. Prioritizing patient problems is often based on Maslow's hierarchy of needs, which categorizes human needs from basic physiological requirements to higher-level psychological needs. Patients' immediate and essential needs, such as airway, breathing, and circulation, are prioritized over other needs based on this framework.
B. The nurse-to-nurse report:
This statement is incorrect. Nurse-to-nurse report is essential for continuity of care, but it is not the basis for prioritizing patient problems. Prioritization is based on the patient's immediate needs and safety concerns.
C. Nonspecific data collection:
This statement is incorrect. Prioritization is based on specific data collected during the assessment, including physiological measurements, symptoms, and patient history. Nonspecific data collection wouldn't provide the necessary information for effective prioritization.
D. Managerial influence:
This statement is incorrect. While managers might provide guidelines and policies, the direct care nurse at the bedside typically prioritizes patient problems based on clinical judgment, immediate needs, and the nursing process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Changing a surgical dressing: This is an example of a nursing implementation. Nurses frequently change dressings as part of their patient care responsibilities.
B. Return demonstration by the patient: This is also an example of a nursing implementation. Nurses often educate patients and then assess their understanding through return demonstrations to ensure the patient can perform tasks correctly at home.
C. Changing an ostomy bag: This is another example of a nursing implementation. It involves hands-on care for patients with ostomies, a responsibility often carried out by nurses.
D. Planning patient outcomes: While planning patient outcomes is crucial for nursing care, it falls more under the category of nursing interventions and nursing process rather than direct implementations.
E. Analyzing assessment data: Analyzing assessment data is part of the nursing process and helps in making decisions about nursing care. While it's essential, it's not a direct implementation action.
Correct Answer is C
Explanation
A. Objective:
Objective data refers to measurable and observable information, often obtained through assessments, tests, or observations. It includes vital signs, laboratory results, physical examination findings, and other data that can be quantified and documented. For example, a blood pressure reading, a recorded temperature, or the observation of a patient's skin color are objective data points.
B. Unreliable:
Unreliable data refer to information that cannot be trusted or depended upon due to its inconsistency or lack of credibility. If a patient provides information that is conflicting, constantly changing, or not coherent, it might be considered unreliable. In healthcare, it's crucial for data to be reliable to ensure accurate diagnosis and treatment.
C. Subjective:
Subjective data are patient-reported information based on their own feelings, experiences, or opinions. This information cannot be measured or observed by others and is typically obtained through patient interviews. Symptoms like pain, headache, or nausea fall into the category of subjective data because they are felt and described by the patient but cannot be independently verified by the healthcare provider.
D. Historical:
Historical data pertain to a patient's past medical history, including previous illnesses, surgeries, allergies, medications, and family medical history. It provides context for the patient's current health status and aids healthcare providers in understanding the patient's overall health background.
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